Active NPI
Judith Ann Levin, MS,RN,CS,NP
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Phoenix, AZ
National Provider Identifier
1275503559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- AP6751
- Practice address
- 3864 N 27TH Ave
Phoenix, AZ 85017-4703 - Phone
- (602) 685-6000
- Fax
- (602) 274-3086
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN040257 | AZ | |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | AP6751 | AZ | Primary |
Addresses
Primary practice location
3864 N 27TH Ave
Phoenix, AZ 85017-4703
Mailing address
3003 N Central Ave
Suite 200
Phoenix, AZ 85012-2902
Phone (602) 685-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183517 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN040257 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP6751 | AZ | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Q Counseling Services, LLC | Past | Accepting new patients | |
| Phoenix Oasis Recovery Homes Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Phoenix, AZ
- NPI 1205380730
-
- Clinical Social Worker
- Phoenix, AZ
- NPI 1235441460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1275503559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 N CENTRAL AVE",
"address_2": "SUITE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122902",
"telephone_number": "602-685-6000",
"fax_number": "602-302-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3864 N 27TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850174703",
"telephone_number": "602-685-6000",
"fax_number": "602-274-3086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "JUDITH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MS,RN,CS,NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "RN040257",
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "AZ",
"license": "AP6751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183517",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.